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“They care for Michigan’s most vulnerable; we should care for them” writes 2020 policy fellow Michelle Meade in Bridge

Michelle Meade

Image of Michelle MeadeMichelle Meade, co-director of the Center for Disability Health and Wellness at U-M and one of CHRT’s 2020 health policy fellows, is in Bridge Magazine. “They care for Michigan’s most vulnerable; we should care for them,” writes Meade, referring to the caregivers who have shown up to support “the lives, health, and functioning of others” during the coronavirus pandemic and, in the process, “put their own health and lives at risk.”

“Quality caregiving can allow [Michiganders] to obtain and maintain employment, to manage health and secondary conditions, and to stay out of hospitals and nursing homes,” writes Meade. But in Michigan, she says, unpaid caregivers put their own health, employment and income at risk and paid caregivers can typically make more working at McDonalds where they may also qualify for medical insurance and other benefits.

“While the low wages of these essential workers may be unlikely to change any time soon – particularly in light of the economic recession we expect to result from the COVID-19 pandemic,” writes Meade, “there are other steps that local and state players can take to support this class of essential workers.” Meade’s top three ideas include tax credits and deductions, subsidized health insurance, and strengthened transportation options.

“We know that permanently increasing wages for caregivers may seem overwhelming and infeasible; however, we cannot allow the perceived inability to do that thing prevent us from doing anything,” writes Meade.

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U-M awards grants to six projects, including one from CHRT, that address poverty, impact of COVID-19 across Midwest

Map of midwest US states

Image of a map of the MidwestThe Midwest Mobility from Poverty Network, led by Poverty Solutions at the University of Michigan, awarded six grants totaling $150,000 for projects to improve economic mobility and address the impact of COVID-19 throughout the Midwest. The grant program aims to accelerate collaborative community-university projects that will leverage data and apply research to have real-world impact on economic mobility. 

The Center for Health and Research Transformation (CHRT) is one of the six grantees. CHRT’s grant supports ongoing COVID-19 response analysis for the Michigan Department of Health and Human Services and Council of Michigan Foundations, as well as other health-related organizations.

“We know that improving economic mobility requires action-based partnerships across the nonprofit and for-profit sectors, government and universities,” said H. Luke Shaefer, director of Poverty Solutions and the Hermann and Amalie Kohn Professor of Social Justice and Social Policy at the University of Michigan. “The COVID-19 pandemic has shone a bright spotlight on economic inequality, and we need to support these strategic partnerships to improve economic mobility more than ever.”

The Midwest Mobility from Poverty Network, funded by the Bill and Melinda Gates Foundation, is a collaboration of universities that uses data and analysis to promote economic mobility and reduce poverty in the Midwest region.

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What the potential Beaumont-Advocate Aurora merger could mean for Detroit patients, employees

Black and White merging arrows

Picture of merging arrowsBeaumont announced it is in merger talks with Advocate Aurora Health, a major healthcare system in other parts of the Midwest says Hank Winchester, reporting for Click on Detroit. 

The largest healthcare system in Michigan is Beaumont Health, and one of the top employers in the Midwest is Advocate Aurora Health, one of the ten largest non-profit, integrated health systems in the country.

John Fox, president and CEO of Beaumont Health, said, “We are excited to explore this option with an organization as highly regarded as Advocate Aurora Health known for their track record in health outcomes, population health, and consumer experience. The potential opportunity to leverage the strength and scale of a regional organization while maintaining a local focus and strong presence in Michigan as a leader and major employer is important to us.” 

In the segment, Winchester interviews Marianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation. Udow-Phillips describes how the merger could impact patient care and quality in Detroit. 

WATCH THE FULL INTERVIEW

Why is Michigan’s coronavirus death rate so high? Udow-Phillips explains in MLive

high covid death rate

High covid death rate newspaper clippings“By multiple measures, coronavirus COVID-19 has been particularly deadly in Michigan” reports Julie Mack in a recent MLive story. “Michigan’s high covid death rate equates to almost 10 percent of the state’s confirmed cases,” writes Mack. “That’s the highest percentage in the country.”

Mack interviewed Marianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation, for perspective. 

It’s likely the sociodemographic factors that made metro Detroit a U.S. epicenter for coronavirus also are contributing to the high covid death rate, said Marianne Udow-Phillips, head of the Center for Health and Research Transformation at the University of Michigan.

Outside of nursing homes, “we know where COVID-19 has been most deadly, and that’s been in the African-American population,” for a variety of reasons, Udow-Phillips said. She also said, “I don’t think it’s in any way that our healthcare system wasn’t as prepared as elsewhere.” 

“A large percentage of deaths are in congregate living settings such as nursing homes and a large percentage are occurring in African-American populations,” Udow-Phillips said. “That informs us on where we need to take interventions; we need to do more to protect those populations, in particular.”

READ THE FULL MLIVE STORY

Udow-Phillips in MLive: Where we need to take COVID-19 interventions to protect vulnerable populations

Covid-19 headstone

Headstone with "COVID-19" written on it, representing the need for interventionsMarianne Udow-Phillips, founding executive director of the Center for Health and Research Transformation (CHRT), spoke with Julie Mack at MLive about where we need to create COVID-19 interventions to protect vulnerable populations.

“By multiple measures, COVID-19 has been particularly deadly in Michigan,” writes Mack in an MLive story that examines the causes. Mack reports that “Michigan’s death count equates to almost 10% of the state’s confirmed cases. That’s the highest percentage in the country.”

Looking at why Michigan has such a high coronavirus death rate is “really quite important, so we can have the best-informed strategy” going forward, Udow-Phillips tells Mack, though she cautions that “there’s a problem with some comparisons between states because some states are not reporting accurately” or in a timely manner.

“A large percentage of deaths are in congregate living settings such as nursing homes and a large percentage are occurring in African-American populations,” Udow-Phillips says. “That informs us on where we need to take interventions; we need to do more to protect those populations, in particular.”

READ THE FULL STORY

Marianne Udow-Phillips in Bridge Magazine on ways to battle COVID-19 in our state’s vulnerable nursing homes

Elderly wearing mask to battle covid 19

Elderly wearing mask to battle covid 19In “Michigan nursing homes linked to 1 in 4 coronavirus deaths. Tally will grow,” a Bridge Magazine story, Marianne Udow-Phillips describes one practice that Michigan could employ to battle COVID-19 in our state’s highly vulnerable nursing homes.

State Rep. Peter Lucido, R-Shelby Township, in Michigan, has argued the state can’t protect nursing home residents with limited information. He has asked both state Attorney General Dana Nessel and federal prosecutors to investigate the state’s nursing home policies.

The disclosure of death counts by nursing homes should be a trigger for further action, Udow-Phillips told Bridge reporters.

She went on to describe nursing home “strike teams” other states have been using since early April. Maryland, for example, has sent teams composed of hospital healthcare workers, National Guard members, and state and local healthcare workers to nursing homes with COVID-19 outbreaks. The teams assist with testing and provide on-site medical support.

“The state could be deploying these teams to battle with infection control. It’s something the state could be working with the nursing home, to have these traveling teams be available,” she said. 

People worry that their loved ones might contract the virus but are unaware of what is happening inside because they are not permitted to visit, said Alison Hirschel, managing attorney, of The Michigan Elder Justice Initiative.

 

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Related content

COVID-19 rapid response brief: Best practices for protecting populations in nursing homes, long-term care settings

Udow-Phillips on Marketplace Morning Report: Why patients are putting off health care, even when they need it

Empty waiting room

Image of waiting area with no people. People are putting off healthcareHealthcare professionals are in a dilemma. Sick people are putting off medical attention, even if they are suffering from life-threatening conditions. Healthcare providers are working to persuade those who need urgent medical attention to receive the necessary treatment.

Marianne Udow-Phillips is cited in a Marketplace Morning Report segment, “It’s safe to see your doctor, ailing health-care industry tells prospective patients.” The story focuses on what healthcare providers are doing to encourage clients to return for needed treatments.

“But even with reassurances, people across the country are putting off routine care,” says NPR Reporter Erika Beres. “Childhood vaccination rates are down, and emergency departments are seeing about half the volume they’d typically see.”

Marianne Udow-Phillips says people are afraid. “There is a lot of fear that when people go to the hospital they will become exposed to COVID-19, and they may actually end up sicker than they would if they just stayed home,” Udow-Phillips said.

To persuade people to come, hospitals and healthcare organizations have started advertising efforts, to convince people to stop putting off the medical attention they need. The Kentucky Hospital Association launched an advertisement that claims that although the coronavirus has significantly altered our lives, “the health care you need doesn’t have to be delayed.”

LISTEN TO THE FULL SEGMENT

Michigan’s independent doctors are facing new hardships during coronavirus pandemic: Udow-Phillips explains

Stethoscope and pen on a clipboard

StethoscopeThe novel coronavirus is not only causing massive stress on hospital systems, but it is also threatening the existence of independent practices in Michigan. Ted Roelofs, in his latest story for Bridge Magazine, shares that as cases started to increase, and social distancing rules were implemented in March, private practices saw a dramatic decline in patients and revenue. 

With this decline in patients, private practices are facing hardships in determining if they will be able to recover from the loss in business. Some are able to receive aid from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program to continue essential operations and pay staff and bills for the near future. However, without the certainty of when this will all end, there is no indication if there will be more aid available to keep these operations running for longer. 

The Center for Health Research and Transformation’s executive director Marianne Udow-Phillips shares that it is very possible to see a decline in medical practices, especially in rural Michigan, which already has a shortage of primary care physicians. She also points out that as more independent physicians become less available, there will be a decline in personalized care. and that smaller practices do not have the same infrastructure to get through a “massive disruption” like this pandemic.

READ THE FULL STORY HERE

–Summary by Emmen Ahmed

In MLive, Udow Phillips explores Michigan’s approach to reopening the economy: Slow, steady and safe

Open business door sign

Open business door signCHRT Executive Director Marianne Udow-Phillips discusses the uncertainties surrounding reopening Michigan’s economy in an MLive story.

As Governor Whitmer and a 29-person Economic Recovery Council roll out a plan for restarting Michigan’s economy, the emphasis is on caution and flexibility. In a May 6 article, MLive’s Malachi Barrett explores the public health, regional, and economic factors that go into decision-making about safe business practices in nine different categories of workplaces in Michigan.

In the article, Barrett captures insights from Economic Recovery Council members on striking the balance that protects citizens and allows economic activity to increase. Looking ahead, CHRT Executive Director Marianne Udow-Phillips echoes the concerns of public health experts and the healthcare community. “There’s a lot of worries in the public health community that as things open as people become laxer in social distancing, we will see that spike of illness and deaths again,” Udow-Phillips said.

While health and business experts evaluate the risk of exposure in different workplaces, Barrett notes that policymakers are also considering regional differences in the number of cases reported and the capacity of different healthcare facilities. In combination with that data-based approach, Udow-Phillips notes that “…we’re going to have to open gradually, see what happens with those first openings and then over time things could start again.”

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COVID-19 has transformed health and behavioral health care delivery through telehealth, but does everyone have access?

Drawing of woman on laptop facing male on another laptop

Webinar graphicsIn this 25-minute webinar by Karin Teske, a senior analyst for research and evaluation at the Center for Health and Research Transformation (CHRT), viewers will learn about the rapid advance of telehealth in the midst of the COVID-19 pandemic.

Three experts will join this webinar to discuss their perspectives on how the pandemic has changed the way healthcare is provided through telemedicine and the difficulties in ensuring that everyone has access to these services.

Teske shares telehealth use and uptake data from before the COVID-19 pandemic and offers a glimpse of what’s changed since March 2020. She reviews new policies governing the provision of telehealth for national Medicaid clients and Michigan Medicare and commercial plan clients. She also describes who has been left out of the telemedicine transformation, and what we can do to address that.

The experts also note that there are still problems with telehealth access, notably for elders, people living in rural areas, low-income people, and people without a strong background in technology or health literacy.

Listen to COVID-19 transforms healthcare delivery via telehealth, but does everyone have access?, one in a series of COVID-19 webinars organized by the Michigan State University College of Osteopathic Medicine.

Note: The telemedicine landscape has been rapidly evolving. For updates, please reach out to her.